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Organization
HERITAGE CARE, INC
Active
Organization
HERITAGE CARE, INC
Active
Parent organization
HERITAGE CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE CARE, INC
Authorized official
JUAN CAICEDO (CEO)
(301) 237-6677
Entity
Organization
Contact information
Practice address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677
Mailing address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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